Newborn care practices at home and in health facilities in 4 regions of EthiopiaReport as inadecuate




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BMC Pediatrics

, 13:198

Global and public health and healthcare

Abstract

BackgroundEthiopia is one of the ten countries with the highest number of neonatal deaths globally, and only 1 in 10 women deliver with a skilled attendant. Promotion of essential newborn care practices is one strategy for improving newborn health outcomes that can be delivered in communities as well as facilities. This article describes newborn care practices reported by recently-delivered women RDWs in four regions of Ethiopia.

MethodsWe conducted a household survey with two-stage cluster sampling to assess newborn care practices among women who delivered a live baby in the period 1 to 7 months prior to data collection.

ResultsThe majority of women made one antenatal care ANC visit to a health facility, although less than half made four or more visits and women were most likely to deliver their babies at home. About one-fifth of RDWs in this survey had contact with Health Extension Workers HEWS during ANC, but nurse-midwives were the most common providers, and few women had postnatal contact with any health provider. Common beneficial newborn care practices included exclusive breastfeeding 87.6%, wrapping the baby before delivery of the placenta 82.3%, and dry cord care 65.2%. Practices contrary to WHO recommendations that were reported in this population of recent mothers include bathing during the first 24 hours of life 74.7%, application of butter and other substances to the cord 19.9%, and discarding of colostrum milk 44.5%. The results suggest that there are not large differences for most essential newborn care indicators between facility and home deliveries, with the exception of delayed bathing and skin-to-skin care.

ConclusionsImproving newborn care and newborn health outcomes in Ethiopia will likely require a multifaceted approach. Given low facility delivery rates, community-based promotion of preventive newborn care practices, which has been effective in other settings, is an important strategy. For this strategy to be successful, the coverage of counseling delivered by HEWs and other community volunteers should be increased.

AbbreviationsANCAntenatal care

DHSDemographic and Health Survey

FMOHFederal Ministry of Health

HEWHealth Extension Workers

HDAHealth Development Army

KMCKangaroo mother care

RDWRecently-delivered woman

SNNPSouthern Nations, Nationalities, and People Region

WHOWorld Health Organization.

Electronic supplementary materialThe online version of this article doi:10.1186-1471-2431-13-198 contains supplementary material, which is available to authorized users.

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Author: Jennifer A Callaghan-Koru - Abiy Seifu - Maya Tholandi - Joseph de Graft-Johnson - Ephrem Daniel - Barbara Rawlins - Bogale

Source: https://link.springer.com/







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